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Individual

MRS. JENNIFER GOODWIN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP

Contact information

Practice address
921 S LONG DR STE 101, ROCKINGHAM, NC 28379-4874
(910) 417-3850
Mailing address
921 S LONG DR STE 101, ROCKINGHAM, NC 28379-4874
(910) 417-3850

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
WILS-A5PQ3
NC

Other

Enumeration date
07/01/2026
Last updated
07/21/2026
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